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DR. CARMEN C CAPODANNO M.D.
NPI 1821092859
Dermatology in San Pedro, CA

Active since June 08, 2005PECOS Enrolled
1360 W 6TH ST, STE 270, SAN PEDRO, CA 90732(310) 831-1272(310) 831-1273 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carmen C Capodanno M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARMEN C CAPODANNO M.D. (NPI 1821092859) is an individual dermatology provider in San Pedro, California, licensed in California (636220) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821092859
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. CARMEN C CAPODANNOCredential: M.D.
Location Address1360 W 6TH ST, STE 270San Pedro, CA 90732-3539
Mailing Address1360 W 6th St, Ste 270San Pedro, CA 90732-3539 · (310) 831-1272 · Fax (310) 831-1273
Phone(310) 831-1272
Fax(310) 831-1273
Sole ProprietorNo
Enumeration DateJune 8, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1821092859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · 636220
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1360 W 6TH ST, San Pedro, CA 90732
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Other Identifiers 1

Medicaid00G362200CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carmen C Capodanno M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carmen Capodanno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Csi Medical Group
Same address
MOHS-Micrographic Surgery
1360 W 6TH ST STE 370
San Pedro, CA 90732
  • Reassigned Medicare billing, California enrollment
  • 179 clinicians in this Medicare group
NPI 1871909804 (310) 519-8890

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90732 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRAXIS PHYSICAL THERAPY, INC.
Physical Therapist
1360 W 6TH ST, #210 NORTH BUILDING
SAN PEDRO, CA 90732
Los Angeles County (310) 548-3130
DR. EMMETT COX II M.D.
Orthopaedic Surgery
1360 W 6TH ST, WEST BUILDING - SUITE #245
SAN PEDRO, CA 90732
Los Angeles County (310) 519-3146
KENNETH JOEL MILLER MD
Ophthalmology
1360 W 6TH ST, SUITE 215
SAN PEDRO, CA 90732
Los Angeles County (310) 547-9991
BARRY RODGVELLER DPM PODIATRY CORPORATION
Podiatrist
1360 W 6TH ST, SUITE 240
SAN PEDRO, CA 90732
Los Angeles County (310) 548-3311
MOSHE FAYNSOD, M.D. INC
Surgery (Surgical Oncology)
1360 W 6TH ST, SUITE 315
SAN PEDRO, CA 90732
Los Angeles County (310) 514-1150
ADRIANA CHAVEZ
Social Worker (Clinical)
1360 W 6TH ST
SAN PEDRO, CA 90732
Los Angeles County (213) 503-6256
JAMES T LONDON M D A PROFESSIONAL CORPORATION
Orthopaedic Surgery
1360 W 6TH ST, SUITE 305
SAN PEDRO, CA 90732
Los Angeles County (310) 833-2406
HERBERT G MARTIN DDS INC
Dentist
1360 W 6TH ST, #110
SAN PEDRO, CA 90732
Los Angeles County (310) 833-4439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Capodanno's NPI number?

The NPI number for Carmen Capodanno is 1821092859. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Carmen Capodanno located?

Carmen Capodanno practices at 1360 W 6th St Ste 270, San Pedro, CA 90732. The listed phone number is (310) 831-1272.

What is Carmen Capodanno's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Carmen Capodanno enrolled in Medicare?

Yes. Carmen Capodanno is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carmen Capodanno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Capodanno reassigns Medicare benefits to Csi Medical Group (San Pedro, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmen Capodanno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carmen Capodanno was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.